Archived: Birkenhead Medical Building

'The service here revolves around the needs of the woman instead of the woman having to revolve around the needs of the service'.

We found that women were given plenty of information in respect of their care; they felt listened to and were able to make informed choices supported by the Midwives.

Women's care and treatment was assessed, planned and delivered in order to meet their needs. Care and treatment plans were fully documented.

The provider had systems in place to ensure co-operation with other providers particularly in the transfer of care process.

Staff were knowledgeable, trained and supported in the safeguarding of children and vulnerable adults. There was a system in place for raising concerns and working with local safeguarding authorities.

We found that staff were inducted, trained and supervised appropriately and told us they were well supported by management.

We found the provider had effective systems in place for monitoring the quality of services. Regular audits and satisfaction surveys were undertaken and there was an effective complaints process. Quality monitoring, learning from events and continuous improvement to service provision was seen to be important as part of the clinical governance framework implemented by the provider.

The five women we spoke with told us they were given meaningful information by the service prior to and following accepting a service from them. We looked at records that showed a range of information was offered to pregnant women who were considering using One to One. There were signed consent forms for the sharing of information. Women told us they felt the information and advice provided allowed them to make informed decisions about their care and support.

Care records showed detailed assessments of pregnant women's medical and social histories were carried out. Any identified risk was documented in risk assessments. A birth plan was then produced to reflect their wishes. Women told us they were happy with the service and felt confident in the care and advice provided.

Training records showed all midwives employed by the service had received training in the protection of children and vulnerable adults. They also showed that each midwife had a designated Supervisor of Midwives for supervision and support.

Women who used the service all told us they felt listened to and valued. There were effective systems in place to monitor the quality and safety of the services provided by One to One.